Table 4.

Detailed categorized challenges in themes and frequencies in studies

Open codes	Category	Appearance	Frequencies	Theme
Lack of technical functionality. Lack of knowledge of technical issues origin. Systems usability and connectivity issues. Video issues. Internet connection issues. Insufficient media quality. Poor technical devices. Technical deviation.	TECHNOLOGY UNCERTAINTIES	Christensen et al. Funderskov et al. Sturesson et al. Tveter et al. Varsi et al.	5	CHALLENGES RELATED TO VIDEO CONSULTATION
Disturbances in patients’ surrounding. Distractions in patients’ surrounding.	ENVIRONMENT AND SURROUNDINGS	Sturesson et al. Tveter et al.	2
Adjustment in work. Availability issues. Doctor’s extra tasks.	PREPARATION REQUIREMENTS	Sturesson et al. Tveter et al. Varsi et al.	3
Lack of physical examination. Lack of sufficient view. Lack of knowledge about patients surroundings. Lack of view of surroundings. Lack of view of whole patient. Doctors’ risk issues. Underreported symptoms.	CLINICAL JUDGMENT	Christensen et al. Sturesson et al. Tveter et al. Varsi et al.	4	CHALLENGES RELATED TO PRACTICIONER
Delays. Wasted time. Clinicians’ poor time management.	TIME MENAGEMENT	Sturesson et al.	1
Lack of healthcare professionals’ experience/knowledge /skills. Clinicians’ poor performance. Negative practitioners’ attitudes about VCs purpose. Negative practitioners’ attitudes about VCs use. Communication/relationship issues. Providers’ communication issues. Empathy issues. Shared negative media quality stories.	PRACTICIONERS’ IDIOSYNCRASIES	Christensen et al. Sturesson et al. Tveter et al.	3
Frustration from patient and relative. Patients’ poor performance. Possibility for sabotage of VC by patients.	PATIENTS’ IDIOSYNCRASIES	Sturesson et al. Tveter et al. Varsi et al.	3	CHALLENGES RELATED TO PATIENT
Lack of suitability of VCs. Providers’ concerns about inappropriateness of VCs.	PATIENTS’ SUITABILITY AND APPROPRIATENESS	Christensen et al. Funderskov et al. Tveter et al.	3